Individual
DR. KEITH BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
66 LILALYN DR, FAIRFIELD, CT 06825-1310
(203) 767-6363
Mailing address
66 LILALYN DR, FAIRFIELD, CT 06825-1310
(203) 767-6363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023622
CT
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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